Immunization Schedules For Children, Teens and Adults In Bozeman – Back to School 2012

With School about to start here in the Bozeman, it’s a good time to run through the checklist to make sure you have everything covered from school supplies, school clothes, bus routes, day care, and immunizations. See inside for the recommended immunization schedule from the Center for Disease Control along with tips on how to get the recommended immunizations in the Gallatin Valley.

Immunizations in the Gallatin Valley are given by the Gallatin City-County Health Department located at 215 West Mendenhall, Bozeman, MT. They are open Monday – Friday from 8pm-12pm and 1pm-5pm. Call 406-582-3100 to make an appointment. The Gallatin City-County Health Department bills all insurance companies Always remember to bring your shot records along with you.

Back-To-School Vaccination Dates (Appointment is needed in advance)

August 11 and August 25 9am-12pm – Call for an appointment 406-582-3100

August 13 and August 27 3:30pm-6:30pm – Call for an appointment 406-582-3100

August 20-23 9am-12pm and 1pm-3pm – Call for an appointment 406-582-3100

Tdap is FREE for under- and un-insured ADULTS!

No child will be turned away if unable to pay.

Recommended Immunization Schedules

Birth to 6 Years Old

Center for Disease Control and PreventionCenter for Disease Control and Prevention

7 – 18 Years Old

Center for Disease Control and PreventionCenter for Disease Control and Prevention

ADULT IMMUNIZATIONS OFFERED IN THE GALLATIN VALLEY

HEP A

TB

HEP B

Td

Gardasil (HPV)

TdaP

IPV

Japanese Encephalitis 17 yrs of age

MENINGOCOCCOL MENINGITIS:

Typhoid (oral or IM)

Menactra:

Menomune:

MMR

Rabies Vaccine

PNEUMONIA

Yellow Fever

TWINRIX A/B

Blood Draw

VARICELLA

International Travel Certificate Card

ZOSTAVAX

Age 50 and older

International Travel Consult

VACCINE

TIMING OF IMMUNIZATIONS

CHICKENPOX

Two doses are recommended for persons who have not had chickenpox. Don’t give to

(Varicella) 1 YR AND UP

pregnant women or those considering pregnancy with in 3 months.

Give SQ

1st

dose

2nd dose 1 to 3 months later

HEPATITIS A- (Hep A)

Two doses are needed to ensure long-term protection. Travelers to countries where the

Give IM

disease is common should get the first dose at least 4 weeks prior to departure.

Hepatitis A Ig –

1st dose (now)

2nd

dose ( 6 to 12 months later)

0.02 ml/kg

IM

(Pretravel)

HEPATITIS B- (Hep B)

1st dose

2nd dose

3rd dose

Give IM

1 month later

5 months after 2nd dose

TWINRIX (Hep A/B)

1st dose

2nd dose

3rd dose (accelerated 0, 7d, 21-30d & 1 yr)

Give IM (18yrs >)

1 month later

5 months or more after 2nd dose

INFLUENZA(Flu)

Given yearly in the fall to all people 6 mths of age and older. 6 mths to 9 yr olds who

Give IM

have never received influenza vaccine, will need booster after one month.

IPV - (INJECTABLE

The risk of polio in the US is extremely small due to vaccine use. Adult vaccination is

POLIO) Inactivated

only recommended if traveling to a part of the world where polio is still common.

Give SQ

1 dose after 18 years of age should give immunity.

MEASLES, MUMPS,

Two doses one month apart are recommended for adults born in 1957 and later if

RUBELLA (MMR) give

immunity cannot be proven. Should not be given to women considering pregnancy

SQ

within 4 weeks.

MENINGOCOCCAL

Administer Menactra (MCV4) to those persons ages 9 mths-55 yrs who are considered

MENINGITIS:

high risk or traveling to areas of risk or in the specified risk groups. ACIP now

Menomune (2-10yrs and

recommends routinely for 11-12 yrs, with booster at age 16 yrs. Administer Menomune

over 55yrs of age) give SQ

(MPSV4) to adults over 55 who are at risk. Revaccinate in 2-3 years those persons with

Menactra (9 mths-55yrs of

continued risk of exposure; otherwise revaccination may be considered within 3-5 yrs.

age) give IM

Both protect against 4 types of meningococcal including 2 of the 3 most common types.

PNEUMOCOCCAL–

Usually given one time after 65 years of age or older. Also recommended for people

Pneumonia(IM or SQ)

younger than 65 who have chronic illnesses such as those listed for influenza, and also

Prevnar now licensed

those with kidney disorders and sickle cell anemia.

A repeat dose 5 years later may be

for > 50 yr

given to those at highest risk. Can be given at any time during the year.

TB

Must be read at least 48 hours after, no longer than 72 hours

TETANUS,

One booster given every 10 years if series completed as a child. If dirty injury or

DIPHTHERIA: Tdap

overseas travel, booster should be given if greater than 5 years since last dose.

preferred for one time

1st dose

2nd dose

3rd dose 6 to 12 months

Booster shot every 10

booster as an adult.

4 to 6 weeks later

after second dose

years

TDAP ages 7 yrs and

Can be used as a one-timealternative to Td. Follow Td recommendations (i.e. one

older

booster q 10 years or if dirty injury or travel, can boost if greater than 5 years since last

dose.

INJECTABLE

Give injectable typhoid to those persons 2 years of age and older traveling to areas of

TYPHOID –Age 2 & over

risk. Should receive the vaccine at least 2 weeks prior to departure. Repeat every two

(give IM)

years if continued risk of exposure for IM vaccine. Oral typhoid is a live viral product

ORAL TYPHOID- Age 6

(booster q 5 years). Must be 6 yrs of age or older. Can’t be on any antibiotic when using

yrs and older.

the oral product! Can take mefloquine, choroquine and malarone with the oral product

(contaminated food &

but not doxycycline.

water/salmonella typhi)

YELLOW FEVER

Vaccinate those persons 9 months of age and older, traveling to areas with risk of

Give SQ

disease as indicated by the CDC. (See yellow book)

Vaccination must be done at least

(transmitted by

10 days prior to arrival in the country. Revaccinate in 10 years if re-exposure is

mosquitoes)

anticipated.

Rabies Vaccine

Vaccinate those people at high risk of exposure, and travelers. Pre-exposure schedule

Give IM

0, Dose 2: 7 days after Dose 1, Dose 3: 21 or 28 days after dose 1.

Gardasil (HPV)

Vaccinate girls between the ages of 9-26 yrs. Dose 0, 2m,6 m.

Give IM

Vaccinate boys between 9-21 yrs of age.

Japanese Encephalitis

Vaccinate those persons > 17 yrs of age traveling to areas of high risk of disease, as

(IXIARO) > 17 yrs

indicated by the CDC (See Yellow Book) Series of 2, given 28 days apart.

Zoster

One time dose after the age of 50 years with a history of chickenpox disease.

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